MITCHELL D BURNBAUM (NPI# 1700866159) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700866159 |
| Entity Type | Individual |
| Full Name | MITCHELL D BURNBAUM |
| Credential | MD |
| Practice Address |
2530 N 8th St Ste 206 Grand Junction CO 81501-8857 |
| Practice Telephone | 9702439180 |
| Practice Fax Number | 9702452697 |
| Mailing Telephone | 9702439180 |
| Mailing Fax Number | 9702452697 |
| Enumeration Date | 2006-01-20 |
| Last Update Date | 2019-06-03 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084N0400X |
Psychiatry & Neurology Specialization: Neurology |
20923 | CO | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CO | MEDICARE PTAN | CP3218 | 01 |
| CO | 01209238 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 300 W Ottley Ave, Fruita, CO 815212118 | 9708583900 | 9708582208 |
| Street Address |
2530 N 8TH ST STE 206 |
| City | GRAND JUNCTION |
| State | CO |
| Zip Code | 81501-8857 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689672735 | Richard Edward Stiefler | Specialist | 2530 N 8th St, Suite 205, Grand Junction, CO 81501-8857 | 2005-07-12 |
| 1952634933 | Richard E. Stiefler, M.d. | Dermatology | 2530 N 8th St, Suite 205, Grand Junction, CO 81501-8857 | 2009-09-09 |
| 1326278797 | Callee Cosby Clark | Dentist | 2530 N 8th St, Suite 106, Grand Junction, CO 81501-8857 | 2009-07-20 |
| 1992992150 | C.w. Derm, LLC | Dermatology | 2530 N 8th St, Suite 205, Grand Junction, CO 81501-8858 | 2007-10-01 |
| 1720068059 | John L Gustavson | Clinical Neuropsychologist | 2530 N 8th St, Suite 204, Grand Junction, CO 81501-8857 | 2006-01-20 |
| 1255319521 | Dale E. Bowen | Clinical Neuropsychologist | 2530 N 8th St, Suite 204, Grand Junction, CO 81501-8857 | 2006-01-05 |
| 1528053204 | Stephen S. Kelly | Dentist | 2530 N 8th St, Suite 103, Grand Junction, CO 81501-8857 | 2005-09-19 |
| 1376542738 | Stephen David Fante | Dentist | 2530 N 8th St, Ste 106, Grand Junction, CO 81501-8857 | 2005-07-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700430261 | Brianne Tanae Harper | Physician Assistant | 2530 N 8th St Suite 205, Grand Junction, CO 81501 | 2019-08-01 |
| 1497318059 | Shellen H Pinnt | Counselor | 660 White Avene, Grand Junction, CO 81501 | 2019-04-19 |
| 1477011658 | Gaylene Ludwig | Counselor | 622 Rood Ave, Grand Junction, CO 81501 | 2019-03-07 |
| 1639676158 | Chris De Bruin | Counselor | Grand Junction Metro Treatment Center, 1001 Wellington Ave, Grand Junction, CO 81501 | 2018-04-11 |
| 1568971125 | Michael Sprague | Counselor | 1001 Wellington Avenue, Grand Junction, CO 81501 | 2017-09-27 |
| 1609393560 | Karin Vandervelde | Midwife | 2241 7th Street, Bloomin' Babies Birth Center, Grand Junction, CO 81501 | 2017-08-23 |
| 1225550361 | Critical Nurse Staffing, LLC | Home Health | 1114 N 1st St, Suite 200, Grand Junction, CO 81501 | 2017-07-11 |
| 1003344094 | Mac Aarron Fish | Counselor | 622 Rood Ave Ste C, Grand Junction, CO 81501 | 2017-06-02 |
| 1467994566 | A New Life Counseling, Inc | Counselor | 623 North 8th St, Grand Junction, CO 81501 | 2016-11-07 |
| 1801342597 | Paragon Restoration & Building, Inc. | Contractor | 205 S. 15th St., Grand Junction, CO 81501 | 2016-09-01 |
| Find all providers in zip 81501 | ||||
| Taxonomy Code | 2084N0400X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Neurology |
| A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730169095 | Neal J Gilman | Psychiatry & Neurology | 341 Quail Dr, Grand Junction, CO 81507-2526 | 2006-01-20 |
| 1518570795 | Scl Health Medical Group - Grand Junction, LLC | Psychiatry & Neurology | 750 Wellington Ave Ste 3c, Grand Junction, CO 81501-6132 | 2020-08-26 |
| 1255732632 | Colorado Neuro Health & Wellness, LLC | Psychiatry & Neurology | 1400 N 7th St, Grand Junction, CO 81501-3004 | 2014-09-04 |
| 1093954257 | Grand Valley Neurology Prof LLC | Psychiatry & Neurology | 744 Horizon Ct, Ste 360, Grand Junction, CO 81506-3921 | 2009-02-11 |
| 1639354376 | Seth Andrew Kareus | Psychiatry & Neurology | 750 Wellington Ave, Ste 3c, Grand Junction, CO 81501-6132 | 2007-12-31 |
| 1619001633 | Logan Matthew Mcdaneld | Psychiatry & Neurology | 750 Wellington Ave, Ste 3c, Grand Junction, CO 81501-6132 | 2007-03-14 |
| 1780730457 | Paramjit Kaur | Psychiatry & Neurology | 2121 North Ave, Mail Stop 111, Grand Junction, CO 81501-6428 | 2007-01-26 |
| 1376567396 | Joel M Dean | Psychiatry & Neurology | 744 Horizon Ct, Ste 360, Grand Junction, CO 81506-3921 | 2006-07-26 |
| 1538183553 | Jerry Gage | Psychiatry & Neurology | 1060 Orchard Ave, Suite G, Grand Junction, CO 81501-2997 | 2006-07-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669070306 | Lower Valley Hospital Association | Psychiatry & Neurology | 551 Kokopelli Blvd Unit G, -practice Location Npi Only-, Fruita, CO 81521 | 2020-10-14 |
| 1194340414 | Northstar Neurology of Colorado Springs PC | Psychiatry & Neurology | 3920 N Union Blvd Ste 150, Colorado Springs, CO 80907-1907 | 2020-06-11 |
| 1942824610 | Neurology of The Rockies, LLC | Psychiatry & Neurology | 125 Inverness Dr E Ste 330, Englewood, CO 80112-5138 | 2020-05-29 |
| 1346862372 | Poudre Valley Medical Group, LLC | Psychiatry & Neurology | 16222 W Us Highway 24 Ste 220, Woodland Park, CO 80863-8763 | 2020-05-13 |
| 1811534050 | Neurology of The Rockies, LLC | Psychiatry & Neurology | 4350 Limelight Ave Ste 250, Castle Rock, CO 80109-8034 | 2019-12-06 |
| 1629614557 | Kenpro, LLC | Psychiatry & Neurology | 5279 Shade Tree Ln, Parker, CO 80134-5029 | 2019-11-26 |
| 1790329035 | Parkview Ancillary Services | Psychiatry & Neurology | 1619 N. Greenwood St., Ste. 402, Pueblo, CO 81003-2658 | 2019-10-30 |
| 1902377179 | Para Health, LLC | Psychiatry & Neurology | 1091 E Bayaud Ave Apt W2604, Denver, CO 80209-2783 | 2018-12-16 |
| 1336622570 | Boulder Neurology and Concussion | Psychiatry & Neurology | 400 Mccaslin Blvd, Suite 200, Louisville, CO 80027 | 2018-09-13 |
| 1518478692 | Grabert Health, LLC | Psychiatry & Neurology | 7871 Dutchrock Rd, Colorado Springs, CO 80919-3893 | 2017-10-17 |
| Find all providers with the same taxonomy | ||||
| City | GRAND JUNCTION |
| Zip Code | 81501 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.